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  • Chiropractic Coding Specialists

Chiropractic Medical Billing Services

Chiropractic billing is uniquely challenging. One wrong spinal manipulation code, one missed active care modifier, or one failed medical necessity—and thousands in revenue vanish.

Neo MD fixes that with chiropractic-certified coders, medical necessity workflows, and aggressive revenue capture built for spinal care complexity.

94-96%

First-Pass Claim Acceptance

+27%

Average Revenue Increase

90

Days to Results

Get Free Chiropractic Revenue Analysis
Talk to a Chiropractic Billing Expert
  • Practice Revenue Health Audit

Is Your Chiropractic Practice
Losing 6-Figures Annually?

The average multi-provider chiropractic clinic loses $48,000 every month to uncaptured clinical complexity.

Visible Revenue Bleed

Immediate Impact

Priority: Critical
Audit: X-901

Spinal Manipulation

Claims denied for missing region-specific documentation.

Priority: Critical
Audit: X-901

Active Care Therapy

Rejected due to missing or incorrect AT modifier application.

Priority: High
Audit: X-901

E/M Downcoding

Re-evaluations reduced to regular office visits.

Priority: High
Audit: X-901

Undercoded Regions

Billing 1 region vs actual treatment of multiple levels.

Priority: Critical
Audit: X-901

Therapeutic Exercise

Denials stemming from inadequate supervised activity notes.

Priority: Medium
Audit: X-901

Auto Accident / PI

Rejected for missing attorney liens or case verification.

Invisible Losses

According to industry data, practices lose 23%–35% of revenue due to:

98940 vs 98941/98942

Region Selection

22% underpayment

Missing Modifier AT

Active Care Compliance

30% denial rate

Wrong exam code

E/M Accuracy

15% revenue loss

Therapy bundling

Multi-Modal Billing

High-yield miss

Med necessity gaps

Maintenance Documentation

Audit trigger

Missing add-ons

Extra-Spinal CMT

12% uncaptured

Incorrect POS codes

Place of Service

Admin denials

Professional component

X-Ray Interpretation

Untapped revenue
"You built your practice on clinical outcomes. But currently, your coding errors are costing you more than the Combined Salaries of Two Associate Doctors."
Cumulative Revenue Variance
$580,000+
Per Annum Potential
See How Much Revenue You're Leaving Behind
  • Industry Problem

Why General Medical Billing Companies Fail Chiropractic Practices

Chiropractic billing requires specialized knowledge that general billers don’t have.

Region counting errors

Can't distinguish 98940 (1 region) from 98941 (2 regions) from 98942 (3-4 regions)

Modifier AT blindspot

Never apply it to active care therapy (automatic bundling denials)

Medical necessity gaps

Can't document maintenance care properly

E/M undercoding

Treat comprehensive exams as basic office visits

Therapy bundling mistakes

Bill one code when multiple modalities are performed

Extra-spinal misses

Don't capture 98943 for extremity adjustments

X-ray revenue loss

Never bill the professional interpretation component

PI/Auto case chaos

Can't manage personal injury or auto accident billing

Result: 25%–38% denial rates, massive undercoding of multi-region adjustments, and lost revenue on therapeutic services.

  • The NEO MD Difference

The Neo MD Chiropractic Advantage

Chiropractic-Certified Coding Teams

  • Expert in spinal manipulation coding (98940-98943)
  • E/M optimization for chiropractic exams (99202-99215)
  • Modifier AT application for active care therapy
  • Therapeutic modality coding (97010-97140)
  • X-ray and imaging interpretation billing
  • Personal injury and auto accident claim management

→ 94–96% clean claim rate vs 62–75% industry average

Spinal Manipulation Revenue Maximization

We ensure proper billing for:

  • Single region adjustments (98940)
  • Two region adjustments (98941)
  • Three to four region adjustments (98942)
  • Extra-spinal manipulation (98943)
  • Proper region documentation (cervical, thoracic, lumbar, sacral, pelvic)
  • Multiple-visit billing optimization

→ $10K–$24K monthly recovery from correct region coding

Complete Prior Authorization Management

We handle authorizations for:

  • Extended therapy services beyond typical limits
  • Advanced imaging (MRI, CT for severe cases)
  • Out-of-network benefit verification
  • Personal injury case setup and liens
  • Workers' compensation case management
  • Medicare Advantage plan approvals

→ 4.8-day turnaround instead of 10–15 days

Active Care Therapy Optimization

We maximize billing for:

  • Therapeutic exercises with modifier AT
  • Manual therapy techniques
  • Therapeutic activities
  • Neuromuscular re-education
  • Therapeutic ultrasound and electrical stimulation
  • Hot/cold pack application

→ $8K–$18K monthly from therapy services

E/M & Re-Evaluation Revenue Capture

We optimize:

  • New patient comprehensive exams (99202-99205)
  • Established patient re-evaluations (99212-99215)
  • Office visits when no manipulation is performed
  • Proper documentation of complexity and medical decision-making
  • Time-based coding when appropriate

→ $6K–$14K monthly from E/M optimization

Real-Time Revenue Visibility

Expert navigation of:

  • Daily manipulation claim tracking
  • Weekly therapy modifier monitoring
  • Monthly financial performance by service type
  • Quarterly payer policy update reviews

→ Complete transparency

Request Your Free Revenue Assessment

Chiropractic Services We Master

Spinal Manipulation & Adjustments

Chiropractic manipulative treatment of single spinal region including specific segment identification and adjustment technique documentation, two spinal regions with proper anatomical region designation, three to four spinal regions with complete documentation of all areas treated, extra-spinal manipulation of extremities including shoulder, elbow, wrist, hip, knee, ankle with appropriate CPT code selection, and maintenance care manipulation with medical necessity documentation.

Examination & Evaluation Services

New patient comprehensive examinations with detailed history, examination, and medical decision-making documentation, established patient office visits for ongoing care management, re-evaluation examinations with interval history and comparative findings, consultation services for complex cases or second opinions, and progress examination coding with appropriate frequency and medical necessity support.

Therapeutic Modalities

Manual therapy techniques including soft tissue mobilization and myofascial release with modifier AT for active care, therapeutic exercises with supervised instruction and progression documentation, therapeutic activities for functional training, neuromuscular re-education for posture and movement patterns, mechanical traction for spinal decompression, and hot/cold pack application when medically necessary.

Physical Medicine Services

Therapeutic ultrasound for deep tissue heating and inflammation reduction, electrical stimulation including interferential and TENS applications, mechanical traction for cervical and lumbar spine, therapeutic massage when medically necessary with proper documentation, and intersegmental traction tables billed appropriately when covered.

Diagnostic Services

X-ray interpretation and report for spinal films including AP, lateral, and oblique views, complete spine series with proper CPT code selection by region, extremity x-ray interpretation when performed in office, diagnostic ultrasound interpretation for soft tissue evaluation, and posture and gait analysis documentation.

Specialty Services

Personal injury case management with lien and attorney coordination, workers’ compensation billing with proper forms and case management, Medicare Advantage plan compliance with benefit limitations, decompression therapy billing with session documentation, sports injury treatment and rehabilitation programs, and wellness and maintenance care programs with outcome tracking.

Real Results: 2-Chiropractor Practice with Associate (Ohio)

“We were consistently undercoding multi-region adjustments. Neo MD taught us proper region documentation, implemented modifier AT on all therapy, and fixed our E/M coding. Our personal injury billing improved dramatically. Revenue is up 32% without seeing more patients.”

— Dr. David M., Chiropractor

Get Your Practice's Revenue Analysis
Metric Before NEO MD After NEO MD (90 Days)
Denial Rate on Manipulation Claims 29% 4.6%
Annual Revenue Loss $380,000 Recovered
Multi-Region Manipulation Coding 98940 Used Incorrectly +$14,000 / month
Therapy Services with Modifier AT Never Applied +$10,000 / month
E/M Visit Coding Accuracy Completely Undercoded +$8,000 / month
Personal Injury Case Management Poorly Managed +$7,000 / month
Total Revenue Impact Missed Revenue $46,000 / month
($552K annually)

Free Download

Chiropractic Denial Prevention Checklist

The exact checklist our coders use for 94%+ clean claims.

Spinal region counting guide (98940, 98941, 98942 decision tree)

Spinal region documentation template (cervical, thoracic, lumbar, sacral, pelvic)

Modifier AT application rules for active care therapy

E/M code selector for chiropractic exams (new patient, re-evaluation)

Therapeutic modality billing matrix (multiple services, same day)

Medical necessity templates for maintenance care

Personal injury case setup checklist (lien, attorney info, case number)

X-ray interpretation billing guide (complete spine series coding)

Used by 180+ pediatric practices. Worth $1,800. Yours free.

Download Chiropractic Checklist

Performance: Neo MD vs Industry Standard

Performance Metric Industry Avg Neo MD
Clean Claim Rate 62–75% 94–96%
Denial Rate 25–38% 4–7%
Multi-Region Coding Accuracy 48–64% 97%+
Modifier AT Application 38–56% 96%+
E/M Optimization 52–68% 94%+
Personal Injury Success Rate 68–79% 96%+

Our Process: Revenue Acceleration in 90 Days

Step 1 (Week 1)
Free 90-Day Revenue Diagnostic

We begin with a comprehensive analysis of your last 90 days of billing data, examining every spinal manipulation claim for correct region counting and documentation, reviewing therapy services for modifier AT application, evaluating E/M code selection for new patients and re-evaluations, and assessing personal injury and auto accident case management. Our team identifies patterns of undercoding where a single region was billed despite treating multiple regions, reviews medical necessity documentation for maintenance care, and examines therapeutic modality billing for proper code combinations. You receive a detailed report showing exactly where revenue is leaking with specific examples of undercoded visits and the dollar amount being lost to each type of coding error or missed service opportunity.

Step 2 (Weeks 2-3)
Seamless Transition

Our implementation team coordinates a smooth transition with zero disruption to your patient schedule or clinical operations. We integrate with your chiropractic software system (whether you're using ChiroTouch, Platinum System, Eclipse, Genesis, or any other platform), verify all payer enrollments and credentialing including Medicare, Medicaid, and commercial carriers, set up spinal region documentation protocols with automatic region counting for accurate code selection, establish modifier AT workflows for all active care therapy services, and provide comprehensive training to your chiropractors and front desk staff on proper region documentation, E/M coding for exams, and personal injury case setup. Most practices have their first clean claims submitted within 10-12 business days.

Step 3 (Days 30-90)
Revenue Acceleration

This is where you see immediate financial impact. Our certified chiropractic coders begin capturing correct multi-region manipulation codes based on documented spinal regions treated, implementing systematic modifier AT application on all active care therapy services to prevent bundling denials, optimizing E/M coding for comprehensive new patient exams and detailed re-evaluations to reflect true complexity, and improving personal injury and auto accident billing with proper lien setup and case documentation. We systematically rework and resubmit old denied claims with corrected region coding and enhanced documentation. Within the first 30 days, most practices see noticeable cash flow improvement from multi-region coding alone, and by day 90, our clients average a 27-32% revenue increase without adding appointment slots or extending hours.

Step 4 (Ongoing)
Continuous Optimization

Revenue optimization doesn't stop at 90 days. We provide bi-weekly updates on chiropractic coding changes and payer policy modifications, including Medicare limitation changes and commercial carrier updates, conduct monthly manipulation coding reviews with your providers to ensure continued region documentation accuracy, perform quarterly compliance audits on modifier AT usage and medical necessity for maintenance care, and deliver annual CPT code update training specific to chiropractic and manual therapy services. As your practice expands services like decompression therapy, sports rehabilitation programs, or functional medicine integration, we proactively research coverage policies and implement billing protocols to ensure maximum reimbursement from day one.

Start Your Revenue Assessment

Critical Compliance Issues We Handle

Chiropractic practices face unique compliance challenges. We protect you:

Spinal region documentation (specific segments adjusted, region identification)

Medical necessity for frequency (active care vs maintenance care distinction)

Modifier AT compliance (active care therapy requirement, proper application)

E/M coding accuracy (appropriate level selection, complexity documentation)

Multiple modality billing (bundling rules, medical necessity for combinations)

Maintenance care documentation (functional improvement, objective findings)

Personal injury requirements (lien documentation, attorney coordination, case numbers)

X-ray interpretation standards (complete series coding, medical necessity)

Medicare benefit limitations (annual visit limits, therapy caps)

We keep you compliant, paid, and audit-ready.

Frequently Asked Questions

 10–14 days, zero patient care disruption.

 Yes. We manage complete PI/auto accident billing, including lien setup and attorney coordination.

We track annual visit limits and ensure proper documentation for covered subluxation-based care.

 5–8% of collections, but clients average a 27–32% revenue increase.

 Yes. We handle single-location practices through large multi-clinic operations.

 We integrate insurance and cash billing, optimizing both revenue streams.

  • Financial Attrition Warning

Stop Losing $20K–$48K Every Month

Every month you delay is another month of compounded clinical leakage.

Multi-region adjustments undercoded

Modifier AT was missed on therapy

E/M visits are completely underbilled

Personal injury cases are mismanaged

Therapeutic modalities bundled incorrectly

Maintenance care denied

Partner with Neo MD

Operational Performance Protocol

90 Day scaleability
Clean Claims Rate
94–97%
Denials below 5%
60 Days
Revenue up 27–32%
90 Days
Multi-region accuracy:
97%+
Modifier AT application
96%+
E/M optimization
94%+

PI success rate

96%+

Two Ways to Get Started

Option 1

Free Revenue Analysis

No obligation. No sales pitch. Just data.

We’ll show you:

  • Spinal region coding accuracy (98940, 98941, 98942)
  • Modifier AT application on active care therapy
  • E/M coding optimization opportunities
  • Personal injury case management effectiveness
  • Therapeutic modality billing gaps
  • Missed revenue by service category
Request Free Revenue Analysis

Option 2

Talk to a Specialist

15-minute consultation. Zero pressure.

We’ll discuss:

  • Your current billing challenges
  • Region coding and documentation issues
  • Modifier AT and therapy optimization
  • Whether Neo MD is the right fit
Schedule 15-Minute Call

Or call us directly:

  • (929) 502-3636

Monday-Friday, 8 am-5 pm EST

The Cost of Waiting

If you’re a chiropractic practice collecting $1.8M annually and losing 29% to billing inefficiencies:

$522,000

Per year in lost revenue

$2.61 million

Over 5 years

That’s hiring another associate chiropractor, opening a second location, investing in advanced equipment like decompression tables or laser therapy, or expanding into sports medicine and functional rehabilitation.

Every month you wait costs you $43,500 you'll never recover.

The question isn’t “Should I switch?”
The question is: “How much more am I willing to lose?”

Get Your Free Analysis

Neo MD Inc. | Chiropractic Medical Billing Specialists




    Trusted by 175+ chiropractic practices across all 50 states